GUIDELINES FOR GRADUATE FIELD EXPERIENCES MANUAL. Guidelines for Graduate Field Experiences Grand Canyon University. All Rights Reserved.

Transcription

1 Guidelines for Graduate Field Experiences Grand Canyon University. All Rights Reserved.

2 Welcome to your Graduate Field Experience The purpose of this manual is to assist students, faculty members, and preceptors/mentors, and site supervisors in the tasks of clinical instruction, assessment and mentoring for College of Nursing and Health Care Professions (CONHCP) Graduate Programs and serves as a guide for the Office of Field Experience (OFE). All participants (student, preceptor, mentor, site supervisor) must sign and return the acknowledgment form at the back of this manual to the OFE for filing. Participants in a program requiring field experiences are required to read Section 1 General Guidelines along with the section(s) specific to your program. Section 2 also applies to all general MSN students. Please note, you may need to read multiple sections if they apply to your degree program. It is the intent of the CONHCP to assist in developing a more consistent field experience for all graduate students independent of their field assignment or preceptor/mentor. This consistency revolves around appropriate supervision, regular formal and informal feedback, and consistent assessment of students clinical proficiencies among other topics and skills. This is an on-going process and we look to each of you and your respective professional and life experiences to aid us in shaping the graduate field experience so that it reflects our mission and goal of developing outstanding future health care professionals. While advisors and faculty are available to guide students with respect to the requirements, students ultimately bear the responsibility of following the requirements. Office of Field Experience Please contact the Office of Field Experience (OFE) at office hours are 7:30 am 5:00 pm Monday through Friday. ***All communication with the College of Nursing and Health Care Professions must be sent from each student s GCU issued address due to confidentiality, HIPAA, and FERPA restrictions. Please do not send s from your personal addresses. Edition Version Effective Changes V1.0 7/6/14 New document V1.1 12/28/14 Clarifications V1.2 2/14/15 Formatting changes V1.3 6/5/15 Clarifications and updates V1.4 6/15/15 OFE document upload and student code added Grand Canyon University. All Rights Reserved.

3 Table of Contents WELCOME TO YOUR GRADUATE FIELD EXPERIENCE...2 FACULTY AND STAFF CONTACT INFORMATION SECTION 1: GENERAL GUIDELINES FOR ALL GRADUATE FIELD EXPERIENCES EXPECTATIONS OF ALL STUDENTS Active Learning Preceptor/Mentor Relationships Time Management Communication with Faculty Professionalism ESSENTIAL FUNCTIONS OF STUDENTS CATEGORIES ESSENTIAL FUNCTIONS MOTOR/PHYSICAL STRENGTH PERCEPTUAL/SENSORY MATH BEHAVIORAL/INTERPERSONAL (RELATIONSHIPS)/EMOTIONAL STABILITY COMMUNICATION PROBLEM SOLVING/CRITICAL THINKING PUNCTUALITY/WORK HABITS GENERAL HEALTH CODE FOR STUDENTS PROFESSIONAL BOUNDARIES PROFESSIONAL DRESS AND BEHAVIOR GENERAL HEALTH AND SAFETY REQUIREMENTS Tuberculosis (TB) BLS card Tetanus- Diphtheria (TD/Tdap) Influenza (Flu) Professional Liability Insurance Health Clearance Form Hepatitis B MMR: Measles, (Rubeola), Mumps, Rubella Varicella (Chicken Pox) Health Insurance Background Check Drug Screen HIPAA Form Universal Precautions POLICY FOR STUDENT DRUG, NICOTINE & ALCOHOL SCREENING Grand Canyon University. All Rights Reserved.

4 Initial Urine Drug Screening For Cause or Reasonable Suspicion Drug, Nicotine & Alcohol Screening Follow-up Action: Positive Screen (For Cause or Initial Drug Screen) Follow-up Action For-Cause Negative Screen Students Who Refuse Drug Screening Substances Included in Urine Drug Screen BODILY FLUIDS EXPOSURE AND/OR INJURY DURING FIELD EXPERIENCES SAFETY GUIDELINES FOR STUDENTS IN PATIENT CARE SETTINGS Standard Precautions Protocol for Puncture Wounds and Exposure to Blood or Bodily Fluids Uncontaminated Needle Stick or Intact Skin Exposure Contaminated Needle Stick or Non-Intact Skin or Mucous Membrane Exposure POTENTIAL RESOURCES FOR MEDICAL TREATMENT NEAR GCU LOCATIONS Tuberculosis Exposure Plan Return to Class COMMUNICABLE DISEASE POLICY MALPRACTICE INSURANCE University Insurance Coverage: FIELD EXPERIENCE/HEALTH AND SAFETY REQUIREMENTS CHECKLIST Health and Safety Requirements Checklist Anticipated Costs THE OFFICE OF FIELD EXPERIENCE RESPONSIBILITIES OF THE OFFICE OF FIELD EXPERIENCE FIELD EXPERIENCE PLACEMENT PROCESS IDENTIFYING A PRECEPTOR/MENTOR/SITE STUDENTS OBTAINING THEIR OWN PRECEPTOR/MENTOR AND SITE Who to contact: Who to consider? Tips for Approaching a Potential Preceptor/Mentor Contacting a Potential Preceptor/Mentor by Phone: When a Preceptor/Mentor Agrees to Serve AFFILIATION AGREEMENTS INITIAL CONTACT WITH THE PRECEPTOR/MENTOR ORIENTATION FOR PRECEPTOR/MENTOR FIELD EXPERIENCE FEES FIELD EXPERIENCE RESTRICTION FIELD EXPERIENCE PROBATION Field Experience Probation Procedure Field Experience Failure/Program Expulsion Grand Canyon University. All Rights Reserved.

5 SCHEDULING OF FIELD EXPERIENCE HOURS ROLES AND RESPONSIBILITIES Preceptor, Student, Site Supervisor, and Faculty Responsibilities Preceptor Responsibilities Student Responsibilities Faculty Responsibilities APRN Site Supervisor Responsibilities Clinical Evaluations APRN Site Supervisor Responsibilities Health Assessment Check Offs LOGGING HOURS STEPS TO INITIATE ACCESS TO TYPHON Student Typhon Documentation Requirements for DNP Student Typhon Documentation Requirements for Non-APRN Programs PERFORMANCE EVALUATIONS ROLES AND RESPONSIBILITIES FOR PRECEPTOR/MENTORS, FACULTY, AND SITE SUPERVISORS PRECEPTOR/MENTOR AND SITE EVALUATIONS BY THE STUDENT PRECEPTOR/MENTOR EVALUATIONS OF THE STUDENT STUDENT EVALUATIONS BY THE FACULTY EVALUATIONS IN NON-APRN COURSES (MSN-ED, MSN-L, MSN-MPH, MPH) NURSING STUDENT LICENSURE ALASKA DNP STUDENTS SECTION 2: MASTER OF SCIENCE IN NURSING PROGRAM OBJECTIVES RESEARCH POLICY, ORGANIZATION, AND FINANCING OF HEALTH CARE ETHICS AND PROFESSIONAL ROLE DEVELOPMENT THEORETICAL FOUNDATIONS OF NURSING PRACTICE HUMAN DIVERSITY AND SOCIAL ISSUES HEALTH PROMOTION AND DISEASE PREVENTION SECTION 3: ADVANCED PRACTICE NURSING (APRN) CLINICAL GUIDELINES To our Preceptors: APRN CLINICAL EXPERIENCES AND USE OF TYPHON APRN Student Typhon Documentation Requirements Helpful Guidelines Regarding Billing and Coding for APRN Students EXPECTED PROGRESSION OF NURSE PRACTITIONER STUDENTS FIRST CLINICAL COURSE STUDENT: SECOND CLINICAL COURSE STUDENT: THIRD CLINICAL COURSE STUDENT: Grand Canyon University. All Rights Reserved.

6 SECTION 4: PROGRAM INFORMATION FOR FAMILY NURSE PRACTITIONER (FNP) STUDENTS, FACULTY, AND PRECEPTORS FAMILY NURSE PRACTITIONER COMPETENCIES & PRACTICE Summary: FAMILY NURSE PRACTITIONER PROGRAM OBJECTIVES GUIDELINES FOR FAMILY NURSE PRACTITIONER SPECIALTY EXPERIENCES Learning Objectives Learning Activities FAMILY NURSE PRACTITIONER COURSE EXPECTATIONS FAMILY NURSE PRACTITIONER CLINICAL SKILLS CHECKLIST Laboratory skills: Therapeutic skills: Diagnostic skills: SELECTION CRITERIA FOR FNP CLINICAL SITES SELECTION CRITERIA FOR FNP CLINICAL PRECEPTORS PRECEPTOR FIT SECTION 5: PROGRAM INFORMATION FOR ADULT-GERONTOLOGY ACUTE CARE NURSE PRACTITIONER (AG-ACNP) STUDENTS, FACULTY, AND PRECEPTORS ADULT-GERONTOLOGY ACUTE CARE NURSE PRACTITIONER COMPETENCIES & PRACTICE AG-ACNP PROGRAM OBJECTIVES GUIDELINES FOR AG-ACNP SPECIALTY EXPERIENCES Learning Objectives Learning Activities AG-ACNP COURSE EXPECTATIONS AG-ACNP CLINICAL SKILLS CHECKLIST Therapeutic skills: Diagnostic skills: SELECTION CRITERIA FOR AG-ACNP CLINICAL SITES SELECTION CRITERIA FOR AG-ACNP CLINICAL PRECEPTORS PRECEPTOR FIT SECTION 6: NON-APRN GRADUATE NURSING PRACTICUM GUIDELINES To our Preceptors SECTION 7: NURSING EDUCATOR COMPETENCIES & PRACTICUM NURSE EDUCATOR PROGRAM OBJECTIVES NURSE EDUCATOR COURSE EXPECTATIONS NUR-665E Nursing Education Practicum Grand Canyon University. All Rights Reserved.

7 SELECTING A NURSING EDUCATOR PRECEPTOR AND SITE Nursing Educator Preceptor Requirements Nursing Educator Practicum Objectives Nursing Educator Practicum Hours Preparation for and Follow-Up with Nurse Educator Preceptor DOCUMENTATION OF NURSING EDUCATOR PRACTICUM HOURS Nursing Educator Practicum Hours GCU ONLINE TEACHING PRACTICUMS SECTION 8: PROGRAM INFORMATION FOR NURSING LEADER STUDENTS, FACULTY, AND PRECEPTORS To our Preceptors To Faculty, Students, and Preceptors NURSING LEADER COMPETENCIES & PRACTICUM NURSE LEADER PROGRAM OBJECTIVES NURSE LEADER COURSE EXPECTATIONS SELECTING A NURSING LEADER PRACTICUM PRECEPTOR AND SITE Nursing Leader Practicum Preceptor Requirements Nursing Leader Practicum Objectives Nursing Leader Practicum Hours Preparation for and Follow-Up with Preceptor DOCUMENTATION OF NURSING LEADER PRACTICUM HOURS Nursing Leader Practicum Hours SECTION 9: PUBLIC HEALTH AND MSN PUBLIC HEALTH PRACTICUM GUIDELINES PROGRAM INFORMATION FOR PUBLIC HEALTH STUDENTS, FACULTY, AND PRECEPTORS To our Preceptors PUBLIC HEALTH COMPETENCIES & PRACTICE PUBLIC HEALTH OBJECTIVES Biostatistics Environmental Health Sciences Epidemiology Health Policy Management Social and Behavioral Sciences PUBLIC HEALTH PRACTICUM PLANNING AHEAD FOR THE PUBLIC HEALTH PRACTICUM EXPERIENCE SELECTING A PUBLIC HEALTH PRACTICUM SITE SELECTING A PUBLIC HEALTH PRECEPTOR TIME COMMITMENTS TO THE PUBLIC HEALTH PRACTICUM EXPERIENCE USING A CURRENT PLACE OF EMPLOYMENT TO COMPLETE THE PUBLIC HEALTH PRACTICUM EXPERIENCE Grand Canyon University. All Rights Reserved.

8 STEP-BY-STEP DIRECTIONS FOR GAINING APPROVAL TO BEGIN THE PUBLIC HEALTH PRACTICUM EXPERIENCE At Least 10 Weeks Prior to Beginning the Practicum Course and Experience At Least 6 Weeks Prior to Beginning the Practicum Course and Experience Two Weeks Prior to Beginning the Practicum Course and Experience Required Forms (see appendix) DOCUMENTATION OF PUBLIC HEALTH PRACTICUM HOURS Public Health Practicum Hours SECTION 10: PROGRAM INFORMATION FOR DOCTOR OF NURSING PRACTICE STUDENTS, FACULTY, AND MENTORS To our Mentors To our Faculty, Students and Mentors PURPOSE OF THE DOCTOR OF NURSING PRACTICE PROGRAM DOCTOR OF NURSING PRACTICE STUDENT LEARNING OUTCOMES Scientific Underpinnings Leadership and Transformational Change Systems Management Population Management Analytic Foundations for Practice PURPOSE OF PRACTICE IMMERSION EXPERIENCE Key Aspects of the Practice Immersion Experience PRACTICE IMMERSION HOURS Logging Practice Immersion Hours Practice Hours Portfolios (AKA Typhon) Maintaining Typhon Case Logs SELECTION CRITERIA FOR PRACTICE IMMERSION MENTORS SELECTION CRITERIA FOR PRACTICE IMMERSION SITES WORKSITE PRACTICE IMMERSION HOURS PROGRAMMATIC ASSESSMENTS Reflective Journals Scholarly Activities Case Reports Individual Success Plans Practice Immersion Objectives Listed in the ISP DOCTOR OF NURSING PRACTICE IMMERSION COURSE EXPECTATIONS DNP-805 Health Care Informatics DNP-810 Emerging Areas of Human Health Grand Canyon University. All Rights Reserved.

9 DNP- 815 Scientific Underpinnings DNP-820 Translational Research and Evidence-Based Practice DNP 825 Population Management DNP-830 Data Analysis DNP-835 Patient Outcomes and Sustainable Change DNP-840 Leadership for Advanced Nursing Practice DNP-955 DPI Project: Part I, DNP-955 DPI Project: Part II, DNP-955 DPI Project: Part III CALCULATING PRACTICE IMMERSION HOURS PRACTICE HOUR ALGORITHM PRACTICE HOUR ACCUMULATION CHART APPENDIX DEFINITION OF TERMS DIRECTIONS FOR CREATING TYPHON REPORTS MEDICAL CLEARANCE FORM HIPAA CONFIDENTIALITY AGREEMENT MEASLES, MUMPS, RUBELLA WAIVER TB SYMPTOMS REVIEW CHECKLIST/WAIVER INFLUENZA VACCINE WAIVER VARICELLA VACCINE WAIVER HEPATITIS VACCINE WAIVER TD/TDAP VACCINE WAIVER MEMORANDUM OF UNDERSTANDING APRN SKILLS LIST WEEKLY FIELD EXPERIENCE HOURS AND ACTIVITY LOG FIELD EXPERIENCE APPLICATION FORM FIELD EXPERIENCE SITE INFORMATION FORM QUALIFIED PRECEPTOR/MENTOR FORM ACKNOWLEDGEMENT OF FIELD EXPERIENCE GUIDELINES FIELD EXPERIENCE REQUIRED DOCUMENTATION FOR ALL STUDENTS REFERENCES Grand Canyon University. All Rights Reserved.

10 FACULTY AND STAFF CONTACT INFORMATION Office Of Field Experience Director Charlotte Saylors, MBA Dean and Professor Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Acute Care Nurse Practitioner/ Adult Gerontology Lead Faculty Ruth Anne Skinner, MSN, APRN, ACNP-C Family Nurse Practitioner Lead Faculty Tamara Wisely, MSN, APRN, FNP-C Nursing Leadership Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Health Care Informatics Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Master of Public Health Veronica Perez, MPH Health Care Administration Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Nursing Education Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Graduate Program Manager Tiffany Taylor, B.S. Clinical Nurse Specialist Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Doctor of Nursing Practice Melanie Logue, PhD, DNP, APRN, CFNP, FAANP Grand Canyon University. All Rights Reserved.

11 Section 1: General Guidelines for All Graduate Field Experiences Please click on the applicable program link below for information regarding programs of study and course descriptions: Programs with Clinical Hours Master of Science in Nursing: Clinical Nurse Specialist with an Emphasis in Adult-Gerontology Master of Science in Nursing: Acute Care Nurse Practitioner with an Emphasis in Adult-Gerontology Master of Science in Nursing: Family Nurse Practitioner Post-Master of Science in Nursing: Acute Care Nurse Practitioner with an Emphasis in Adult-Gerontology Certificate Post-Master of Science in Nursing: Family Nurse Practitioner Certificate Bridge to Master of Science in Nursing: Acute Care Nurse Practitioner with an Emphasis in Adult-Gerontology Bridge to Master of Science in Nursing: Family Nurse Practitioner Grand Canyon University. All Rights Reserved.

12 Programs with Practicum Hours Master of Science in Nursing with an Emphasis in Nursing Education Master of Science in Nursing with an Emphasis in Public Health Master of Science in Nursing with an Emphasis in Nursing Leadership in Health Care Systems Post-Master of Science in Nursing: Nursing Education Certificate Master of Public Health Bridge to Master of Science in Nursing with an Emphasis in Nursing Education Bridge to Master of Science in Nursing with an Emphasis in Nursing Leadership in Health Care Systems Bridge to Master of Science in Nursing with an Emphasis in Public Health Programs with Practice Immersion Hours Doctor of Nursing Practice Grand Canyon University. All Rights Reserved.

13 Expectations of All Students Active Learning It is our expectation that as a graduate student, you identify your strengths and areas for improvement, set personal goals that address the areas for improvement and actively seek learning opportunities to meet your goals. As active learners it is important that you give critical thought to your learning needs and devise a plan to address them. As you get into clinical areas you might want to discuss your thoughts with your clinical faculty or preceptor/mentor and ask for feedback. We also expect that you actively prepare for every clinical day and set aside time at the end of each clinical day to identify the things you need to look up or review, and then take time during the week to get that learning done. Preceptor/Mentor Relationships As active learners, we want to remind you that you are not following preceptors/mentors. Following is a very passive term that implies very little learning. The language you use makes a difference in how you are perceived and how you make meaning of your experience, i.e. if you talk about passive following that is likely to be what you are doing. Please talk about working with your clinical preceptors/mentors or use some other more active term. Time Management You cannot socialize to the role you are learning if most of your energy is in other roles. If you haven t already, look at your obligations outside of school and identify ways that you can be successful over the course of the program. You may want to seek resources and formulate a plan now so that you can get the most out of this experience. Communication with Faculty You will have a designated clinical/practicum faculty member who is responsible for the evaluation of the student s performance. It is essential that you keep your designated clinical faculty member informed of any change in your clinical site, preceptor/mentor, or schedule, as well as any unanticipated events that occur during the clinical experience, i.e. illness or injury related to experience. Professionalism Good communication skills, a positive attitude, and respectful and productive interactions are part of that image. Being a great nurse does not mean you possess manual skills, but that you possess the heart of a nurse who is compassionate, caring, and willing to lead with humility. Your professors can help you network and develop connections within the profession so the impact of your professional image is important to consider. We hold faculty to the same expectations. Clinical time is also best spent seeking new learning opportunities and discovering your area of interest. Nursing practice involves a variety of activities that include direct care and indirect care experiences. Direct care refers to nursing care activities provided at the point of patient care. Indirect care refers to nursing interventions that are provided on behalf of patients. What counts as clinical experiences in your coursework is tied directly to the clinical learning objectives for that particular setting and are part of meeting the overall program competencies based on the AACN Essentials. The Essentials provides an important framework for designing and assessing baccalaureate education programs for professional nursing practice Grand Canyon University. All Rights Reserved.

14 Also consider that you are the hands of God in action. Strong moral values and character are the backbone to the profession of nursing. It is imperative that nurses maintain collaborative relationships with patients, doctors, fellow nurses, and other health-care staff. If conflict arises, nurses must make an effort to resolve the situation in a way that supports the situation in positive way. Many of you are natural leaders and I encourage you to discover the power of positive leadership as you move toward your future. Faith, religion, and spirituality are distinct components of what defines many human communities and allow individuals to make sense of their experiences. Your ability to understand and support those beliefs is key to your role as a caring, compassionate nurse. Essential Functions of Students CATEGORIES ESSENTIAL FUNCTIONS A student must be able to: Motor/Physical Strength Perceptual/Sensory Math Behavioral/Interpersonal (relationships)/emotional Stability Communication Possess the physical strength and mobility to safely carry out nursing procedures and provide routine and emergency care and treatment to patients of all ages in all assigned health care settings. Use their senses to make accurate clinical assessments and judgments. Accurately calculate medication/solution dosages and any needed information specific to patient care. Develop mature, sensitive and effective therapeutic relationships with individuals, families and groups of various social, emotional, cultural and intellectual backgrounds Adhere to GCU policies, procedures and requirements as described in the college catalog, student handbook, and course syllabi. Demonstrate ethical behavior, including adherence to professional and student university honor codes. Communicate effectively and accurately in English using speech, reading, writing, language skills, and computer literacy Grand Canyon University. All Rights Reserved.

15 Use of appropriate nonverbal communication is also essential. Problem Solving/Critical Thinking Punctuality/Work Habits General Health Collect, analyze, prioritize, integrate, and generalize information and knowledge to make sound clinical judgments and decisions to promote positive patient outcomes. Adhere to classroom and clinical schedules. Complete classroom and clinical assignments and submit assignments in a timely manner. Work in an environment that puts one at risk for infection. Meet all health and safety requirements to perform patient care in assigned clinical facilities. Code for Students As students are involved in the clinical and academic environments we believe that ethical principles are a necessary guide to professional development. Therefore within these environments we; 1. Advocate for the rights of all clients. 2. Maintain client confidentiality. 3. Take appropriate action to ensure the safety of clients, self, and others. 4. Provide care for the client in a timely, compassionate, and professional manner. 5. Communicate client care in a truthful, timely, and accurate manner. 6. Actively promote the highest level of moral and ethical principles and accept responsibility for your actions. 7. Promote excellence in nursing by encouraging lifelong learning and professional development. 8. Treat others with respect and promote an environment that respects human rights, values and choice of cultural and spiritual beliefs. 9. Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the highest quality of client care. 10. Use every opportunity to improve faculty and clinical staff understanding of the learning needs of nursing students. 11. Encourage faculty, clinical staff, and peers to mentor nursing students. 12. Refrain from performing any technique or procedure for which the student has not been Grand Canyon University. All Rights Reserved.

16 adequately trained. 13. Refrain from any deliberate action or omission of care in the academic or clinical setting that creates unnecessary risk of injury to the client, self, or others. 14. Assist the staff nurse or preceptor in ensuring that there is full disclosure and those proper authorizations are obtained from clients regarding any form of treatment or research. 15. Abstain from the use of alcoholic beverages or any substances in the academic and clinical setting that impair judgment. 16. Strive to achieve and maintain an optimal level of personal health. 17. Support access to treatment and rehabilitation for students who are experiencing impairments related to substance abuse or mental or physical health issues. 18. Uphold school policies and regulations related to academic and clinical performance, reserving the right to challenge and critique rules and regulations as per school grievance policy. Professional Boundaries Professional codes of conduct are the foundation for caring relationships. These relationships exist primarily during the student s education within the timeframe of their enrollment in the nursing program. These relationships are developed between client-nurse, student- faculty, faculty-faculty, and student-student. The student client relationship exists within the timeframe of the nursing course. The National Council of State Boards of Nursing has developed a document that provides the basis for understanding the boundaries for such relationships. Students receive a copy of this document in one of the first nursing courses. It is also available at The student who wishes to continue this student-patient/client relationship beyond the end of the course must discuss this with the course faculty prior to the end of the course. Patients/clients may express gratitude to the student for care provided in the context of the student-patient relationship. The College limits a student s acceptance of gifts from a patient/client to those of less than $3.00 in value. Professional Dress and Behavior You must purchase and wear an official Grand Canyon University student nametag from Apparel Pro. The name tag will read INSERT NAME, CURRENT CREDENTIALS, and STUDENT TYPE. Please do not place other credentials on the GCU nametag. Apparel Pro is located at 2150A W. University Drive Tempe, AZ Phone: Toll: Advanced practice nursing students are expected to purchase and wear a white lab coat during their clinical rotations or adjust to the clinical site s dress code as needed. All other students are expected to dress in business casual attire. All students are expected to present themselves as representatives of Grand Canyon University s program. All students are expected to be respectful to preceptors, faculty, staff, patients, and their families. Reports of unprofessional behavior will result in your being counseled by the faculty and/or the respective Lead Faculty and initiation of a Code of Conduct form which is subject to review by the Grand Canyon University. All Rights Reserved.

17 College of Nursing and Health Care Professions. You are expected to follow Grand Canyon University s official Code of Conduct policy listed in the University Policy Handbook. HIPAA Guidelines As health care providers, one of the covered entities, nurses must be knowledgeable about the various aspects of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). CONHCP offers this guidance below for those persons to ensure compliance with those requirements and asks that all students sign the HIPAA confidentiality Agreement. Students are required to do the following: 1. Sign the CONHCP Faculty/Staff/Student Confidentiality Agreement before any involvement in a clinical agency. 2. Attend CONHCP training or in-classroom clinical instruction on requirements relating to patient privacy. 3. Know and adhere to a clinical site s privacy and procedures before undertaking any activities at the site. 4. Maintain at all times the confidentiality of any patient information, regardless of whether the identifiers listed in the Do not section of these guidelines have been removed. 5. Promptly report any violation of those procedures, applicable law, or CONHCP s confidentiality agreement by a CONHCP student, faculty or staff member to the appropriate CONHCP clinical instructor or faculty member. 6. Understand that a violation of the clinical site s policies and procedures, of applicable law, or CONHCP s confidentiality agreement will subject the student to disciplinary action. Students are not to do the following: 1. Discuss, use or disclose any patient information while in the clinical setting unless it is part of the clinical setting. 2. Remove any record from the clinical site without the prior written authorization of that site. 3. Disclose any information about a patient during the clinical assignment to anyone other than the health-care staff of the clinical site. 4. Use patient information in the context of a learning experience, classroom case presentation, class assignment, or research without attempting to exclude as much of the following information as possible: a. Names b. Geographical subdivisions smaller than a state c. Dates of birth, admission, discharge, death d. Telephone and fax numbers e. addresses f. Social security numbers g. Medical records or account numbers Grand Canyon University. All Rights Reserved.

18 h. Certificate/license numbers i. Vehicle or device numbers j. Web locators/internet protocols k. Biometric identifiers l. Full face identifiers m. Any other unique identifying number, characteristic, or code n. All ages over Access any patient information unless patient is clinical assignment. OSHA Guidelines Please review OSHA training for Healthcare training at this OSHA site. You should review all topics across the ribbon including: Culture of Safety, Infectious Disease, Safe Patient Handling, Workplace Violence, Other Hazards, and Standards/Enforcement. General Health and Safety Requirements Students and faculty are expected to take measures to maintain their personal health so as not to jeopardize themselves or any patient with which they come in contact. Therefore, students who are accepted into the programs must show evidence of the CONHCP required immunizations and diagnostic procedures as required by the clinical agencies utilized. At any time, a student may be required to receive a medical examination if deemed necessary by the faculty for the wellbeing of the student and/or the patients/clients. As students are in contact with clients in a variety of health situations, it is imperative that students maintain protection against communicable illnesses. In addition, students must meet agency health requirements to enter clinical course work. Students are responsible for updating BLS, Professional Liability Insurance, TB screening and Tetanus immunizations when needed. Students will not be allowed to participate in clinical experiences unless all agency and GCU requirements are current. Any student that falls out of compliance due to expired documentation will immediately be restricted from clinical participation until renewed documentation is provided and coinciding faculty will be notified. Missing clinical may jeopardize a student being successful in the program. The information on the following three pages indicates the specific health requirements for graduate admission and continuing enrollment. Guidelines are based on the Center for Disease Control guidelines, Morbidity Mortality Weekly Report. Evidence of all of the following must be uploaded via the student portal prior to your clinical experience. Please see Appendix for appropriate forms Grand Canyon University. All Rights Reserved.

19 Tuberculosis (TB) For continued enrollment - required annually. Initial Tuberculosis testing must be a 2-step PPD (repeated PPD). If the first PPD is negative, a second skin test is required within 7 21 days. Subsequent tuberculosis testing is a one-step PPD repeated annually. The skin test reaction should be read between 48 and 72 hours after administration. A patient who does not return within 72 hours will need to be rescheduled for another skin test. A TB test is valid for one year. TB records must be current and on file. For positive skin tests, an annual symptoms checklist is required and date of positive conversion provided. CXRs will be required only if the clinical site requests this. A chest x-ray is valid for 5 years. The QuantiFERON -TB Gold blood test may be accepted in lieu of the PPD. The PPD is not contraindicated for anyone including pregnant women, persons who are HIV-infected, or persons who have been vaccinated with BCG. Evaluation will be made on an individual basis. BLS card For continued enrollment - Re-certification required prior to expiration date. BLS certification for the Professional Rescuer or Healthcare Provider is required. Information as to the availability of courses may be obtained by calling either the American Heart Association or American Red Cross, or checking online. This certification is valid for a two year period and provides comprehensive training in this area. Other BLS courses will NOT fulfill this requirement. Online-only courses are not acceptable. Tetanus- Diphtheria (TD/Tdap) For continued enrollment - required Influenza (Flu) For continued enrollment - required annually. Professional Liability Insurance For continued enrollment - required annually. Documentation of Tetanus/Tetanus-Diphtheria/Tetanus-Diphtheria with Acellular Pertussis vaccination administered within the past 10 years. (Tdap vaccines are preferred.). If you have a medical condition which does not allow current immunization, then you may sign a waiver and contact the OFE for further instructions on where to upload your medical exception. Flu vaccines are available from late September through early May. Students are required to have a current flu vaccine on file in order to enter the clinical setting. Influenza vaccine is required annually. If you have a medical condition which does not allow current immunization, then you may sign a waiver and contact the OFE for further instructions on where to upload your medical exception. Student-Self Coverage: Advanced Practice Registered Nurse (APRN) students are required to carry their own professional liability insurance. The coverage is a minimum of $1 million per event/$3 million total coverage. This coverage must state that the student is in an advanced practice role. University Coverage: The College of Nursing and Health Care Professions carries Medical Professional Liability Insurance on all students in the DNP program. The coverage is $2,000,000 each incident or occurrence and $4,000, Grand Canyon University. All Rights Reserved.

20 Health Clearance Form Hepatitis B A physician or other health care provider completes this form following a physical exam of the student. If the physical was performed within the last six months, the form may be completed based off of that exam. (Form in Appendix). Hepatitis B vaccine (3 doses) is required AND documented proof of immunity. A lab confirmation must be presented (see below). You will be required to repeat the vaccine series if there is no immunity. If you have repeated vaccination series and completed a second titer and the results are still negative, equivocal, or borderline, then you may sign a waiver for this disease. A waiver is required if vaccine not administered. (Form enclosed). If you have a medical condition which does not allow current immunization, then you may sign a waiver and contact the OFE for further instructions on where to upload your medical exception. Evaluation will be made on an individual basis. HBsAg anti HBc anti HBs negative negative positive with >10mIU/mL immune due to vaccination no vaccination necessary MMR: Measles, (Rubeola), Mumps, Rubella Varicella (Chicken Pox) Students must show proof of immunity (lab evidence indicating positive MMR titers). It is not sufficient to report having had any of these illnesses or vaccinations as a child. Titers must indicate adequate protection. Equivocal results are considered negative and the student is required to get a booster for the MMR vaccine. If not immune (negative titer results), then student must be vaccinated and be re- tested at least 30 days after receiving the vaccination. If, after the second blood test, the student is still showing negative or non-reactive for immunity, no further vaccines/titer requests then you may sign a waiver for this disease. If you have a medical condition which does not allow current immunization, then you may sign a waiver and contact the OFE for further instructions on where to upload your medical exception. Evaluation will be made on an individual basis. Students must show proof of immunity (lab evidence indicating positive varicella titers). Because of recent changes in policies, documentation of history of chicken pox or varicella vaccinations are not sufficient. If not immune (negative titer results), then student must be vaccinated and be retested at least 30 days after receiving the vaccination. If, after the second blood test, the student is still showing negative or non-reactive for immunity, no further vaccines/titer requests will be required. If you have a medical condition which does not allow current immunization, then you may sign a waiver and contact the OFE for further instructions on where to upload your medical exception. Evaluation will be made on an individual basis Grand Canyon University. All Rights Reserved.

21 Health Insurance Verification of the student s current health insurance coverage (e.g., copy of insurance card.) Background Check APRN students must be completed prior to first clinical rotation. No felonies accepted, and misdemeanors will be subject to review by the Professional Standard committee. Must be completed before first clinical experience. Drug Screen HIPAA Form Universal Precautions APRN students are required to have A negative drug screen prior to beginning first clinical experience. This will be scheduled by the OFE during the first eight weeks of the semester. The student pays the cost of the drug screen (approximately $50). All students should refer to the detailed Policy for Student Drug, Nicotine & Alcohol Screening below. Students, faculty, and site supervisors must sign and return this form to the OFE. (Form in Appendix). Based on the mandatory CDC and OSHA guidelines, students, faculty, and site supervisors will consistently observe blood and body fluid precautions when working with all clients in all settings. Policy for Student Drug, Nicotine & Alcohol Screening The practice of professional nursing demands that the clinician be free from the influence of any substance that would impair judgment and thinking ability. As a result, health care agencies are requiring students who work directly with patients to undergo drug screening. Nursing students must also be free from impairing substances. Health care agencies and the CONHCP require drug screening of all nursing students prior to their first clinical experience. In addition, CONHCP students are subject to screening if either the faculty or preceptor suspects that the student is impaired at any time on campus, or during any health care experience or any other university or work related activity. Any student whose test is deemed positive will not be able to enroll or continue in nursing course for a minimum period of one year. Determination will be made in the Professional Standards Committee. The College is required to reports any positive screens and/or suspicion refusal to the appropriate board. This policy is designed to identify the procedures to be followed for both types of testing as well as to outline the appeal and readmission to the program. Initial Urine Drug Screening 1. First clinical course and new transfer students will be randomly given a drug screen authorization form and a 24-hour time frame to complete a urine drug screen at one of the laboratory options provided. 2. Students will be required to show picture identification upon arrival. A driver s license or passport are acceptable forms of identification. 3. The cost for all screening and medical review (if deemed necessary) is the students responsibility Grand Canyon University. All Rights Reserved.

22 4. A screen with questionable results will be sent by the lab for a medical review. Costs for review and retest will be the responsibility of the student. 5. A negative report is necessary to continue in the program of study in the CONHCP. 6. This screen need not be repeated as long as the student maintains continuous enrollment. Continuous enrollment is defined as enrollment in nursing classes during all consecutive semesters until graduation. 7. Students may be re-tested for cause or reasonable suspicion. For Cause or Reasonable Suspicion Drug, Nicotine & Alcohol Screening The CONHCP may ask a student to submit to a drug and alcohol screening at any time a faculty member or preceptor believes that the student may be under the influence of drugs or alcohol. This includes but is not limited to the following circumstances: evidence of drugs or alcohol on or about the student s person or in the student s possession, unusual conduct on the student s part that suggests possible use or influence of drugs or alcohol, negative performance patterns, or excessive and unexplained absenteeism or tardiness. Determination will be made in the Professional Standards Committee. 1. Students will be asked to submit to an immediate oral drug and alcohol screening test conducted at one of the laboratory options provided. 2. Students may also be given a drug screen authorization form and asked to immediately complete a urine drug screen at one of the laboratory options provided. 3. Students will be required to show picture identification upon arrival. A driver s license or passport are acceptable forms of identification. 4. The costs for all screening and medical review (if deemed necessary) are the students responsibility. 5. A screen with questionable results will be sent by the lab for a medical review by the company completing the drug screen. Costs for review and retest will be the responsibility of the student. 6. A negative report, excluding a positive nicotine result, is necessary to continue in the program of study in the CONHCP. Follow-up Action: Positive Screen (For Cause or Initial Drug Screen) 1. Positive drug screens (including those medically prescribed) may result in withdrawal from the nursing program for a minimum of 12 months. After this 12-month period, the student may apply for readmission under general guidelines stated in the University Policy Handbook, provided there is submission of evidence of satisfactory participation in a rehabilitation program for alcohol/substance abuse. Determination will be made in the Professional Standards Committee. 2. Sources of evidence include: a. Documentation of completed program of rehabilitation. b. Acknowledgement of continuance in a twelve step or after-care program. c. Letter from therapist or licensed health care provider stating the student is now able to function safely in a clinical facility. 3. The student must have a negative screen prior to being readmitted to the nursing program. The Grand Canyon University. All Rights Reserved.

23 screen will be done at the direction of CONHCP and may be periodic while the student is in a CONHCP program. The student is responsible for all costs of screening. 4. The decision to readmit will be made by the CONHCP College Administrator after review of submitted materials. As with other applications for readmission, space availability may be a determining factor for that particular semester. 5. A report will be filed with the State Board of Nursing upon withdrawal from the program consistent with the rules and regulations of the State Board of Nursing. 6. Any student who screens positive after one readmission may be permanently dismissed from the nursing program. Follow-up Action For-Cause Negative Screen 1. Students whose drug screens are negative will meet with the College Administrator to discuss the perceptions of impaired behavior and the implications and steps to avoid similar situations in the future. 2. A review by the Medical Review Officer (MRO) by the company collecting the drug screen for documentation of any medical condition or treatment may be requested. 3. Students will not be counted as absent from clinical during this evaluation process. However, students will be expected to meet the clinical objectives. 4. A reasonable suspicion/cause drug screen that is positive; however, is deemed negative by a medical review officer will follow these guidelines: a. The student will meet with the College Administrator. b. The student may be required to undergo, at the student s expense, an evaluation for drug use/prescription drug use/impairment by a psychiatrist recommended by the State Board of Nursing. c. The student will follow other recommendations deemed necessary by the College Administrator. d. The student will be required to provide a negative drug screen prior to returning to clinical and be subject to periodic drug screens at the student s expense. e. More than one incident of a reasonable suspicion/cause drug screen that is positive; however, deemed negative by a medical review officer may result in withdrawal from the nursing program for a minimum of 12 months. In this case the student will follow the positive drug screening guidelines. Students Who Refuse Drug Screening Students who refuse to participate in screening will be required to leave the clinical area and make an appointment with the Dean of Nursing or his/her designee. The student will remain out of the clinical area until an investigation has been done and a recommendation has been made by the College Administrator. Students who refuse screening may be subject to dismissal from the CONHCP. A student who refuses to participate in the aforementioned rehabilitation program will not be allowed into clinical courses; therefore he/she cannot complete the nursing program. Substances Included in Urine Drug Screen Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine metabolite, Cotinine Grand Canyon University. All Rights Reserved.

24 (tobacco/nicotine), Fentanyl, Meperidine, Methadone, Opiates, Oxycodone, Phencyclidine, Propoxyphene *Please note certain clinical facilities include nicotine as part of their screening and will not allow students to rotate at their facility who test positive from nicotine or its byproduct, cotinine. Bodily Fluids Exposure and/or Injury During Field Experiences Grand Canyon University acknowledges the inherent risks associated with working around or with patients and health care organizations, including a potential exposure to blood and body fluids. Once in a patient care setting, you will have access to and are expected to utilize appropriate bloodborne pathogen barriers, proper sanitary precautions, and appropriate biohazard disposal equipment and procedures at each clinical site. The following policy outlines your responsibilities in this area: You must have and maintain current health insurance and show verification of coverage each year while matriculated in the program. GCU and the clinical agencies that provide practical experiences for our students are not responsible or liable for the costs of medical follow-up or expenses incurred. If evaluation and treatment is required by the facility where you are completing clinical experiences, the student is responsible for all costs and associated follow up. In the event that you are injured or exposed to blood and body fluids, you will: o Wash the area immediately and thoroughly with soap and water. o Within 24 hours, follow-up with your own Primary Care Provider who will make a determination of immunization status and give appropriate prophylaxis or referral for appropriate prophylaxis. o Assume full responsibility for disease sequelae. o Follow the policies of the agency (if any). o Complete a student incident report with the supervising faculty or instructor who was present during incident. A copy of this report will be given to the College Administrator and placed in the student s file. Safety Guidelines for Students in Patient Care Settings Standard Precautions Students will adhere to all guidelines for Standard Precautions within the clinical agencies. Protocol for Puncture Wounds and Exposure to Blood or Bodily Fluids Incidents involving any type of needle stick or body-fluid exposure must be reported to the Preceptor/Faculty/Facility immediately! The faculty will then notify the College Administrator. All faculty and students should observe the protocol for safe needle usage when practicing or performing parental injections, IV starts, blood draws, or using syringes, or performing any invasive procedure as part of a skills check off, or in a clinical setting. The faculty/student should follow the protocol for needle usage at the agency where clinical is being held Grand Canyon University. All Rights Reserved.